How much rates vary
Facilitymedian $19 · 10th to 90th $19 to $19Professionalmedian $19 · 10th to 90th $15 to $282
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $32.36 | Professional | None | $19.05 | $23.44 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $11.22 Typical High $16.22 | Professional | 52 · Reduced service | $9.55 | $11.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.57 Typical High $6.46 | Professional | 53 · Discontinued | $3.80 | $4.57 | $6.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $14.13 Median $16.98 Typical High $23.99 | Professional | 54 · Surgery only | $14.13 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $3.39 Typical High $4.79 | Professional | 55 · Aftercare only | $2.82 | $3.39 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $2.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $1.91 | $2.24 | $3.24 |
BCBS Tennessee Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Lucent Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $478.63 | Professional | None | $281.84 | $281.84 | $478.63 |
United Setting Professional Modifier None Typical Low $10.23 Median $16.98 Typical High $18.20 | Professional | None | $10.23 | $16.98 | $18.20 |
Where Tennessee sits
The same service costs 3.1 times more in Rhode Island than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Tennessee· 43rd of 51
$19.05
RI $45.71NY $14.79
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.